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MEADVILLE MEDICAL CENTER
NPI 1417640079
Internal Medicine - Pulmonary Disease in Meadville, PA

Active since May 31, 2023
765 LIBERTY ST STE 307B, MEADVILLE, PA 16335(814) 333-5691(814) 333-7093 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meadville Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADVILLE MEDICAL CENTER (NPI 1417640079) is a healthcare organization registered as a pulmonary disease in Meadville, Pennsylvania and active in the NPI registry since May 2023. The organization lists Cory Frank Jackson, Controller, as its authorized official.

NPPES Registry Identity

NPI1417640079
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameMEADVILLE MEDICAL CENTER
Location Address765 LIBERTY ST STE 307BMeadville, PA 16335-2569
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-5691 · Fax (814) 333-7093
Phone(814) 333-5691
Fax(814) 333-7093
Organization SubpartNo
Authorized OfficialCory Frank JacksonController · (814) 333-5766
Enumeration DateMay 31, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1417640079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
765 LIBERTY ST STE 307B, Meadville, PA 16335
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Other Names 1

Other NamePulmonary Associates Of Meadville

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meadville Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Meadville Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Andra Fee-Mulhearn, D.O., M.P.H
Pulmonary Disease
NPI 1942590799
765 LIBERTY ST STE 307B
Meadville, PA 16335
(814) 333-5691
✔ PECOS✔ Accepts MedicareSame address
Michael Mosley, CRNP
Nurse Practitioner
NPI 1841970530
765 LIBERTY ST STE 307B
Meadville, PA 16335
(814) 333-5691
✔ PECOS✔ Accepts MedicareSame address
Tejpreet Lamba, M.D.
Pulmonary Disease
NPI 1861702623
751 LIBERTY ST STE G19
Meadville, PA 16335
(814) 333-5691
✔ PECOS✔ Accepts MedicareSame address
Joseph Graybill, CRNP
Nurse Practitioner
NPI 1033759105
32384 THREE BRIDGES RD
Centerville, PA 16404
(814) 493-6001
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meadville Medical Center's NPI number?

The NPI number for Meadville Medical Center is 1417640079. It was assigned to this organization in the NPPES registry on May 31, 2023. The provider is also known as Pulmonary Associates of Meadville.

Where is Meadville Medical Center located?

Meadville Medical Center is located at 765 Liberty St Ste 307B, Meadville, PA 16335. The listed phone number is (814) 333-5691.

What is Meadville Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Meadville Medical Center enrolled in Medicare?

Yes. Meadville Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meadville Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Meadville Medical Center, in Nurse Practitioner and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Meadville Medical Center was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.